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Commentary

Mr. Sims is Doctoral Candidate, Center for Locomotion Studies, Intramural Building, Rm 10, The Pennsylvania State University, University Park, PA 16802

This excerpt was created in the absence of an abstract.

I wish to congratulate the authors on their innovative study of the relationship between loss of sensation, limited joint mobility (LJM), and plantar ulcers in diabetic patients. Foot injuries have typically been ignored as a potential complication of diabetes. This lack of attention appears to be based on the attitude that most diabetic foot problems are inevitable because of vascular disease. Although poor vascularity may be a contributing factor in some cases, loss of sensation and mechanical stress account for the majority of the injuries.¹ The issues discussed in this article emphasize the nonvascular risk factors for plantar ulceration. This is a very positive approach to the problem because foot injuries may be viewed as a preventable complication of diabetes and the techniques required for prevention are within the professional domain of the physical therapist....

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